Stacy Lyn Commodore, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APRN62855 Issued in WV

Practice address

2000 Mon Health Medical Park Dr Ste 2001
Morgantown, WV 26505-1167

Phone

(304) 720-8816

Fax

(904) 494-6467

NPI assigned

Jan 11, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, PA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional Eye Associates IncGroup PAC ID 1456255876, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.79 of 100Reported as group

Quality

94.87

Promoting interoperability

100

Improvement activities

40

Cost

51.09

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regional Eye Associates, Inc.

  • Ophthalmology Physician
  • Morgantown, WV
  • NPI 1336212075
  Medicare reassignment Care Compare group NPD
• United Hospital Center, Inc.

  • Internal Medicine Physician
  • Bridgeport, WV
  • NPI 1760965586

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• West Virginia University Medical Corporation

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508
  Medicare reassignment NPD
• Rgal Anesthesia Services LLC

  • Anesthesiology Physician
  • Lancaster, PA
  • NPI 1699055251
  Medicare reassignment NPD
• Mid-Atlantic Anesthesia Consultants, LLC

  • Anesthesiology Physician
  • Hurricane, WV
  • NPI 1144248907
  Medicare reassignment
• Regional Eye Associates, Inc

  • Ophthalmology Physician
  • Weston, WV
  • NPI 1003446444
  NPD
• United Hospital Center, Inc.

  • Pulmonary Disease Physician
  • Bridgeport, WV
  • NPI 1427549039
  NPD
• West Virginia University Medical Corporation

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1174233530
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1639409824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3466",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253343466",
            "telephone_number": "304-720-8816",
            "fax_number": "904-494-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MON HEALTH MEDICAL PARK DR STE 2001",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051167",
            "telephone_number": "304-720-8816",
            "fax_number": "904-494-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMMODORE",
        "first_name": "STACY",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-11",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "APRN62855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynn Collins, PHARMACIST
• Stacey Collins
• Olivia Marie Colvin, NP
• Amy Combs-Lane, PH.D.
• Mary Comerci, MA, NCC
• Maria Krisna Comoda, RN
• Companion Care Corporation
• Compass Health Services, LLC
• Composite Physical Therapy
• Bonnie Compton

• Certified Registered Nurse Anesthetist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Certified Registered Nurse Anesthetist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.